NPI | 1013532506 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL ROBERT GALLUCCI Dentist 401-533-3108 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
Enumeration Date | 2020-06-10 |
Last Update Date | 2020-06-10 |